Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennie Wyatt-Coste, 071607

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1558751859

Jennie Wyatt-Coste, 071607 is an Addiction (Substance Use Disorder) Counselor in Pacoima, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

11643 Glenoaks Blvd
Pacoima, CA 91331-1050
Phone: (818) 897-2609
Fax: (818) 890-7159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 071607 (CA)

Record details

NPI number1558751859
Entity typeIndividual (Type 1)
GenderFemale
Credentials 071607
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJanuary 26, 2015

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